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Current Diagnosis & Treatment Obstetrics & Gynecology 12th Edition by Alan H. DeCherney
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Current Diagnosis & Treatment Obstetrics & Gynecology 12th Edition by Alan H. DeCherney
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Current Diagnosis & Treatment Obstetrics & Gynecology 12th Edition by Alan H. DeCherney - Ch. 1-60
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Complete Test Bank Current Diagnosis and Treatment Obstetrics and Gynecology by Alan Questions & Answers with rationales (Chapter 1-60)
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Test Bank: Current Diagnosis & Treatment Obstetrics &Gynecology 12th Edition by Alan H. DeCherney - Ch. 1-60,
9780071833905, with Rationales
A 37-year-old female is 36 weeks pregnant. She tells you that she has a severe headache and blurred
vision. She describes decreased fetal activity today. Her vital signs are P 86, R 14, BP 138/90, and
SpO2 is 96% on room air. You should transport her: - ANSWER: on her left side
How do the kidneys assist in buffering the pH of the blood? - ANSWER: Produce Bicarbonate
A 91-year-old female complains of generalized weakness. She tells you that she is depressed because
her husband died last month and she keeps forgetting to take her diabetes medication. Her skin is
warm and dry. Her vital signs are P 98, R 16, BP 112/78, and SpO2 is 97% on room air. You should: -
ANSWER: assess blood glucose
A 45-year-old female complains of palpitations. She tells you she feels nervous and tired. She has a
history of a panic disorder. Her vital signs are P 100, R 24 and deep, BP 142/84, and SpO2 is 100% on
room air. You should: - ANSWER: coach her to slow her breathing
An unresponsive 58-year-old female had a single seizure prior to your arrival. Bystanders tell you that
she hasn't woken up since she stopped shaking. While you are performing your assessment, she has a
brief tonic period followed by generalized clonic activity. You should next: - ANSWER: protect her
head and transport
A 16-year-old male tells you he is allergic to bees and that he was stung. Five minutes ago, he used his
epinephrine autoinjector and felt better, but now he is having increasing difficulty breathing. You hear
audible stridor and wheezes. You should first: - ANSWER: administer second dose of epinephrine
An unresponsive 23-year-old male is lying in bed. His mother tells you that he has been getting sicker
all week and not taking his medication. He has a history of type 2 diabetes. His skin is warm and dry.
His vital signs are P 98, R 24 and deep, BP 112/84, and SpO2 is 98% on room air. You should suspect: -
ANSWER: hyperglycemia
A 38-year-old male complains of nausea and vomiting. He has a history of alcoholism. His abdomen is
distended, and he has left upper quadrant tenderness on palpation. His vital signs are P 112, R 18, BP
116/88, and SpO2 is 95% on room air. You should: - ANSWER: administer oxygen
A 67-year-old female complains of crampy abdominal pain. She tells you she has diarrhea and mucus
in her stool. Her vital signs are P 94, R 16, BP 136/84, and SpO2 is 96% on room air. You should: -
ANSWER: transport in position of comfort
A 21-year-old female has a sudden onset of left lower abdominal quadrant pain and vaginal bleeding.
She denies the possibility that she could be pregnant. She tells you the pain started after she had a
spicy meal. Her vital signs are P 116, R 18, BP 94/70, and SpO2 is 93% on room air. You should
suspect: - ANSWER: ectopic pregnancy
A febrile 66-year-old female complains of chills and body aches. She tells you she removed a tick from
her back yesterday. You observe a 3 cm circle of reddened skin that is normal in the center. You
should: - ANSWER: assess vital signs
A 3-year-old male is lethargic and does not respond appropriately. His mother tells you he has
constantly been tired and drinking more fluid than normal for several weeks. His conjunctivae appear
, dry. His vital signs are P 130, R 40, BP 58 systolic, and SpO2 is 98% on room air. You should suspect: -
ANSWER: hyperglycemia
A 32-year-old female complains of a throbbing right-sided headache. She tells you the lights are
bothering her eyes and she feels nauseated. Her face is symmetrical, and both arms move equally.
Her speech is clear, and she uses appropriate words. You should suspect a: - ANSWER: migraine
A 36-year-old female complains of palpitations. She tells you that she has a hyperactive thyroid gland.
Her skin is warm and moist. Her vital signs are P 108 and irregular, R 18, BP 126/80, and SpO2 is 97%
on room air. You should: - ANSWER: transport her
Which of the following is least dependent on insulin to move glucose into the cells? - ANSWER: brain
A 29-year-old male complains of severe left-sided flank pain. He tells you that the pain so severe that
he cannot sit still to drive his car. His vital signs are P 94, R 16, BP 132/68, and SpO2 is 97% on room
air. You should: - ANSWER: transport him
An 8-year-old female who has a history of autism fractured her lower leg. Before applying the splint,
you should: - ANSWER: tell her the splint will be tight to keep her leg from moving
A 6-month-old female is cyanotic and slow to respond to stimuli. Her father tells you he found her this
way on the floor and removed an empty balloon from her mouth. Her pupils are pinpoint. Her vital
signs are P 72 and R 16. After you begin to ventilate her, you should: - ANSWER: administer naloxone
A 73-year-old female complains of pain in her lower abdomen and pelvis. She tells you the pain
increases during intercourse. Recently, she has had a foul-smelling vaginal discharge. You should
suspect: - ANSWER: pelvic inflammatory disease
A confused 60-year-old female complains of generalized weakness after working outside on a hot,
humid day. Her skin is hot and moist. After moving her to your air-conditioned ambulance, you should
next: - ANSWER: apply cold packs to her groin
A 26-year-old male was acting bizarre and violent toward you and your partner. While law
enforcement officers assisted you in restraining him, you note he is unexpectedly strong. His skin is
hot and diaphoretic. During transport, he suddenly calms down and stops thrashing against his
restraints. You should immediately: - ANSWER: reevaluate his ABC's
An 84-year-old male tells you that he is hearing and seeing demons. He has a history of schizophrenia.
He denies any other complaints. His vital signs are P 64, R 12, BP 122/74, and SpO2 is 98% on room
air. You should: - ANSWER: tell him that you cannot see or hear them
An 86-year-old female complains of difficulty breathing. She has a history of tuberculosis. After
donning an N-95 respirator, you auscultate rhonchi in her left lower lung. Her vital signs are P 86, R
16, BP 142/84, and SpO2 is 96% on room air. You should administer oxygen by: - ANSWER: nasal
cannula and place mask over nose and mouth
A 23-year-old female complains of shortness of breath. She has a history of lupus. You observe a rash
across both cheeks and the bridge of her nose. Her lungs are clear to auscultation. Her vital signs are P
88, R 20, BP 126/76, and SpO2 is 95% on room air. You should: - ANSWER: administer oxygen
A 30-year-old female complains of epigastric pain that radiates to her right shoulder. She tells you she
vomited the French fries she ate 30 minutes ago. Her lungs are clear to auscultation. Her pain
increases when she takes a deep breath while you are palpating her abdomen. Her vital signs are P
92, R 16, BP 124/80, and SpO2 is 97% on room air. You should suspect: - ANSWER: cholecystitis
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